探讨胸腰段脊椎不稳定性爆裂型骨折的护理

Nursing Care for Unstable Thoracolumbar Burst Fractures

目的分析探讨胸腰段脊椎不稳定性爆裂型骨折的临床护理。方法 43例胸腰段脊椎不稳定性爆裂型骨折均采用切开复位内固定椎管减压植骨融合术,分析总结护理方法及护理结果。结果全部患者获得随访10～18个月,按Frankel分级:A级有2例无恢复,其余患者较术前恢复1～2级,脊椎畸形均矫正,无手术并发症。结论整体化护理措施能够使患者平安渡过手术期,且能预防术后并发症的发生。

Objective To explore the clinical nursing for unstable thoraeolumbar burst fractures. Methods 43 eases of unstable thoracolumbar burst fractures were eonfLrmed by X-ray and were performed open reduction and internal fixation. The nursing measures and its effect were summarized. Results After 10 to 18 months, all the patients successfully completed the surgery. Postoperative neurological recovery l to 2 grades compared with preoperative according to the grade of Frankel,2 eases of grade A has not recovered. No surgical complications occurred. Conclusion Holistie nursing cares enable patients with unstable thoraeolumbar burst fractures survived the operative and can prevent surgical complications.